Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETRAK (MANAGEMENT AND PROGRAM ANALYST)
(216) 791-3800
Entity
Organization
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
34426 PUTH DR, AVON, OH 44011-1916
(440) 396-5461
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
59.000233
OH
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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